Provider Demographics
NPI:1326069949
Name:WOMENS HEALTHCARE PARTNERS OF ILLINOIS
Entity Type:Organization
Organization Name:WOMENS HEALTHCARE PARTNERS OF ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ABDUR-RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-434-2229
Mailing Address - Street 1:1300 STARFIRE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-1624
Mailing Address - Country:US
Mailing Address - Phone:815-434-2229
Mailing Address - Fax:815-434-4229
Practice Address - Street 1:1300 STARFIRE DR
Practice Address - Street 2:SUITE B
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-1624
Practice Address - Country:US
Practice Address - Phone:815-434-2229
Practice Address - Fax:815-434-4229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherEIN